关键词: 重症监护病房, 德尔菲技术, 入室前访视

Abstract:

Objective To develop an ICU pre-admission standardized visiting contents which is suitable for clinical application in China and to evaluate its effects. Methods The theoretical framework and item pool were developed through literature review and patients’ semi-structured interview. The contents of the visiting were adjusted and revised with two rounds of Delphi method. A total of 135 patients who would transferred to ICU were visited before entering the room with standardized interview contents,and the visiting effects was evaluated by the self-made questionnaire. Results The degree of experts’ authority were 0.78. The two rounds’ Kendall’s coordination coefficients of ICU pre-admission visiting scale were 0.17~0.30. The contents of ICU pre-admission visiting include 6 first-level items which contained personnel introduction,environment introduction,related system introduction,communication and cooperation,common discomfort,and preparation of appliances,18 second-level items and 39 third-level item. The total scores of the questionnaire was 18.40±0.53,indicating a good visiting effects. Conclusion The development of ICU pre-admission visiting contents are based on sufficient theoretical evidence. The process of construction is scientific,standardized,and reasonable. It has good clinical practicability. They are suitable for the use of ICU pre-admission visit.

Key words: Intensive Care Units, Delphi Technique, Pre-admission visit